Elena Kennedy, MD in Oakland, CA - Medicare Internal Medicine

Elena Kennedy, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Oakland, California. Her current practice location is 3600 Broadway, Oakland, California. You can reach out to her office (for appointments etc.) via phone at (510) 752-1000.

Elena Kennedy is licensed to practice in California (license number A176243) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1104280833.

Contact Information

	Elena Kennedy, MD
	3600 Broadway, Oakland, CA 94611-5730
	(510) 752-1000
	Not Available

Map and Direction

Physician's Profile

Full Name	Elena Kennedy
Gender	Female
Speciality	Internal Medicine - Pulmonary Disease
Location	3600 Broadway, Oakland, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104280833
Provider Enumeration Date: 04/08/2016
Last Update Date: 08/16/2023

Medicare PECOS Information:

PECOS PAC ID: 1658669973
Enrollment ID: I20231219002553

Medical Identifiers

Medical identifiers for Elena Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104280833	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0200X	Internal Medicine - Critical Care Medicine	A176243 (California)	Secondary
207RS0012X	Internal Medicine - Sleep Medicine	A176243 (California)	Secondary
207RP1001X	Internal Medicine - Pulmonary Disease	A176243 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Elena Kennedy allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Elena Kennedy is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Elena Kennedy, MD 3600 Broadway, Oakland, CA 94611-5730 Ph: (510) 752-1000	Elena Kennedy, MD 3600 Broadway, Oakland, CA 94611-5730 Ph: (510) 752-1000

Reviews and Comments

Internal Medicine Doctors in Oakland, CA

Ms. Samira Yasmeen Ahmed, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 1411 E 31st St, Oakland, CA 94602 Phone: 510-437-4800
Jeeven Brah, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 350 Hawthorne Ave, Room 2346, Oakland, CA 94609 Phone: 510-869-6883
Sanya Wadhwa, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 300 Frank H Ogawa Plz Ste 355, Oakland, CA 94612 Phone: 510-444-3297 Fax: 510-444-6421
Michael Uzoma Ohabughiro, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1411 E 31st St Fl 2, Oakland, CA 94602 Phone: 510-437-5039 Fax: 510-535-7313
Lisha Lynne Wilson, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 400 29th St, Ste 501, Oakland, CA 94609 Phone: 510-268-1800 Fax: 510-268-1803
Chee C. Chow, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 275 W Macarthur, Oakland, CA 94611 Phone: 510-752-1000
David M. Bliss, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 1950 Franklin St, Oakland, CA 94612 Phone: 510-987-1000

Elena Kennedy, MD - Medicare Internal Medicine in Oakland, CA